how to succeed in breastfeeding without really trying

Free ebooks ==> www.ebook777.com www.ebook777.com Free ebooks ==> www.ebook777.com HOW TO SUCCEED IN BREASTFEEDING WITHOUT REALLY TRYING, Or Ten StePs to Laugh Your Way Through Free ebooks ==> www.ebook777.com This page intentionally left blank www.ebook777.com Free ebooks ==> www.ebook777.com NATASHA SHUR, M.D and PAULINA SHUR, Ph.D NATASHA SHUR, M.D and PAULINA SHUR, Ph.D NATASHA SHUR, M.D and PAULINA SHUR, Ph.D HOW TO SUCCEED IN TO SUCCEED IN HOW BREASTFEEDING TO HOW SUCCEED IN BREASTFEEDING WITHOUT REALLY TRYING, OR WITHOUT REALLY TENTRYING, OR WITHOUT REALLY TRYING, OR STEPS TEN BREASTFEEDING STEPS TEN YOUR STEPSWAY THROUGH YOUR WAY THROUGH YOUR WAY THROUGH Illustrations by Marianna Simina Illustrations by Marianna Simina Illustrations by Marianna Simina World Scientific Publishing Co Pte Ltd World Scientific Publishing Co Pte Ltd 3 World Scientific Publishing Co Pte Ltd A-PDF Merger DEMO : Purchase from www.A-PDF.com to remove the watermark Free ebooks ==> www.ebook777.com Published by World Scientific Publishing Co Pte Ltd Toh Tuck Link, Singapore 596224 USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601 UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library Illustrations and cover by Marianna SIMINA Layout by See More Designs LLC HOW TO SUCCEED IN BREASTFEEDING WITHOUT REALLY TRYING or Ten Steps to Laugh Your Way Through Copyright © 2008 by World Scientific Publishing Co Pte Ltd All rights reserved This book, or parts thereof, may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Publisher For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA In this case permission to photocopy is not required from the publisher ISBN-13 978-981-281-915-4 ISBN-10 981-281-915-0 Desk Editor: Tjan Kwang Wei Printed in Singapore www.ebook777.com KwangWei - How to Succeed.pmd 7/31/2008, 10:12 AM Free ebooks ==> www.ebook777.com Copyright © 2008 by World Scientific Publishing Co Pte Ltd Natasha SHUR, M.D and Paulina SHUR, Ph.D Illustrations and cover by Marianna SIMINA Layout by See More Designs LLC How To Succeed in Breastfeeding Without Really Trying, or Ten Steps to Laugh Your Way Through All rights reserved No part of this book may be reproduced in any manner or by any means - graphic, electronic, or mechanical, including photocopying, recording, taping, or information storage and retrieval systems - without written permission of the publisher Published in Singapore by World Scientific Publishing Co Pte Ltd Free ebooks ==> www.ebook777.com www.ebook777.com Free ebooks ==> www.ebook777.com Dedication (from Paulina Shur) W hen my oldest daughter was born, I developed mastitis At that time in Russia, where we lived, breast pumps did not exist The pain in my breasts was so excruciating, I couldn’t even think about nursing my baby, but formula was not available It was a calamity My husband surveyed the situation Then, he brought a bicycle pump and made a special connector that stuck to my breast on the one side and to the hose on the other He went to the opposite side of the room (since the hose was long, and the pump huge and heavy), and started to pump as if my breast were a bicycle’s wheel – only the milk was going out, not the air in I screamed from pain, but in a few minutes most of the milk was gone from my breast, and I was able to nurse my daughter with the remains of the milk in that breast The same procedure was repeated for the other breast, and this continued every two hours for the next three days In three days, the mastitis was gone When my youngest daughter was born (a co-author of this book), we left Russia While in transit, we couldn’t afford to buy a crib, nor could we put the baby on our bed, for fear of her falling on the floor during the night My husband surveyed the situation Then he took one of our huge suitcases, dumped out all of the clothes, put a soft blanket on the bottom, tied both sides of the suitcase to heavy furniture pieces (so that the suitcase wouldn’t close while we were asleep), and voila! - a safe and cozy bed was ready for our baby To the best husband and father in the world – Michael Shur Free ebooks ==> www.ebook777.com Thank you: To Dr Nelli Fisher and Dr Anne Marie Roe who delivered my baby To my mentor Dr Marion who has always helped me both personally and professionally and is an inspiration as a pediatrician, geneticist, and person; and my other mentor Dr Susan Gross for her ideas and brilliance To Dr Julie Aliaga, Dr Kelechi Iheagwara, Dr Megan Huchko, Dr Susan Klugman, and Kelly Moffat Saeed for friendship and continued support To my daughter Anna, the inspiration for this book Natasha Shur Thank you: To my mother, who breastfed me, when I was a baby, and to my husband, who fed me, when I illustrated this book Special thanks to my Professors: Deanna Leamon (University of South Carolina, SC), Kristina Palana and Thomas Uhlein (William Paterson University, NJ) Marianna Simina www.ebook777.com Free ebooks ==> www.ebook777.com T H E T E N S T E P S Introduction Choose Nursing Over Nurseries 12 Become a Lioness (and fight common 34 (while pregnant, think breastfeeding)! sabotages in the hospital-jungle)! Survive Getting Eaten Up (and solve feeding confusions)! Regress to a Pre-School Level 10 (it is all about pee and poop)! Shape-up at Baby Boot Camp (the first six weeks postpartum)! Strut Your Stuff (in the face of the general public)! Fight the “Yottle” in Your Baby’s Bottle (with the help of Dr Seuss)! Sleep Like a Baby (or with a baby)! Pump It Up (without losing your sanity)! Wean Like a Winner (and toast to making it through)! 56 73 82 98 114 124 138 154 Free ebooks ==> www.ebook777.com blended with water is delicious and healthy Stage I baby carrots are convenient It is a great joy to spoon-feed your baby and watch him spread orange gook all over his face The traditional paradigm of always doing cereal, vegetables, fruit, and meat in a religious order still works, but there is nothing wrong with changing the order (in fact, that is the latest trend) Some families eventually get to the point of throwing every meal that they eat (even pizza) into the blender for the baby and calling it a day! Before the baby is set for pizza, he might turn away or reject the spoon, which means he is not ready In most cases, months six through nine are spent with babies eating complete mush, often in a disinterested way And then something interesting happens Your baby gets teeth, lifts off the floor in a bear-crawl, stands with support, and starts looking truly like a little person One night, you are eating zucchini and spaghetti with the baby sitting on your lap, and suddenly she grabs it and chews a whole piece! Now, it is time to have fun and to start introducing a variety of foods, maybe even offering a little three times a day People talk about waiting a week in between every new food (in case an allergic reaction takes place), but there is little direct evidence that it makes a great difference The idea is not to introduce a million things at once, but if you happen to give squash and potatoes together, there is usually no harm And you don’t have to mark the calendar with days and times to introduce new foods: you could have some flexibility Of course, if there is a family history of food allergies or a previous reaction, a more cautious approach is needed The most 162 www.ebook777.com Free ebooks ==> www.ebook777.com common reaction is a skin rash, and an extra big diaper rash may also be a sign In this case, you should consult the pediatrician yet again! The Weaning Diet (A Variant of the Breastfeeding Diet) D uring pregnancy and breastfeeding, most of us splurged on strawberry milkshakes and plates of Fettuccini Alfredo Now your baby is ready to eat solids Does that mean you have to cook something special for her? Not if you follow “the weaning diet,” which allows you to eliminate the need to cook different meals for different members of the family The main idea is that you, your baby, and entire family can enjoy a lot of the same foods As your baby gets more interested in solids, especially between 10-12 months, you gradually cut down on the amount of breast milk consumed by the baby during the day, and substitute breast milk with the food you too like to eat Weaning is cooking 163 Free ebooks ==> www.ebook777.com TOP FIVE BREAKFAST OPTIONS THAT YOU AND YOUR BABY CAN SHARE Caveat: get the green light from your pediatrician or proceed at your own risk! 1) Oatmeal and pears Peel and cut a pear in small pieces; add the pear to a small saucepan filled with halfwater and half-organic apple juice; when it comes to a boil, add about four large handfuls of oats; cook fifteen minutes or so until the whole thing is mushy (YUM!) 2) Eggs (your baby ONLY gets the yolk) Separate one egg, scramble the yolk in a little butter or olive oil on the pan first and cut it into tiny pieces for the baby Mix the remaining egg white with some more eggs and scramble for the rest of the family 3) Whole yogurt and bananas Mash with a fork or make a Smoothie 4) Cheerios with breast milk for the baby (and regular milk for you) 5) Organic applesauce with whole-grain bread (made into crumbs for your baby, toasted for you) 164 www.ebook777.com Free ebooks ==> www.ebook777.com The friendly cow, all red and white, I love with all my heart: She gives me cream with all her might, To eat with apple-tart She wanders lowing here and there, And yet she cannot stray All in the pleasant open air, The pleasant light of day; And blown by all the winds that pass And wet with all the showers, She walks among the meadow grass And eat the meadow flowers Robert Louis Stevenson, The Cow TOP FIVE LUNCH OPTIONS 1) Avocado sandwiches Mash the avocado and crumb the bread for your baby; for you, mix with low-fat cottage cheese, lemon juice, and salt and pepper for a delicious spread 2) Hummus Take a can of chick peas, puree in the blender with a tablespoon or so of olive oil; take out a few tablespoons for the baby; then for you, add ¼ cup of lemon juice, 1/3 cup of tahini or sesame seeds, salt and pepper; and add cilantro, parsley, or any other herb, if you have it on hand Put on pita for you and it’s fabulous! 3) Baked potatoes or sweet potatoes Stab with a fork, microwave for five minutes, turn over, microwave for five minutes more: for the baby peel the skin, and mash it up! 165 Free ebooks ==> www.ebook777.com 4) Fruit-salad Choose from extra-ripe papaya, persimmon, honeydew, cantaloupe, and bananas It should be ripe enough to easily mash with a fork Eat yours with cottage cheese, yogurt, or as is 5) Yummy Cauliflower Steam for fifteen minutes for you, for a few minutes longer for your baby Mash a few soft heads with a potatoes masher for the baby or throw in a blender For you, add bread crumbs, a little butter or melted cheese, and you are all set! And make yourself a salad When I was down beside the sea A wooden spade they gave to me To dig the sandy shore My holes were empty like a cup, In every hole the sea came up, Till it could come no more Robert Louis Stevenson, At the Seaside TOP FIVE DINNER OPTIONS 1) Super-mashed beans Soak beans such as lima or red beans overnight The next day drain the water, rinse them, add a can of tomato paste, diced tomatoes, a few tablespoons of olive oil, salt and pepper, and fill the pot half-way with water Cook on the back-burner for several hours When serving to your baby, make sure that the beans are all mashed up (use a potatoes masher) Serve with rice made in a rice-cooker, add a salad, and dinner is 166 www.ebook777.com Free ebooks ==> www.ebook777.com ready for the family (and don’t forget hot sauce for the table)! 2) Spaghetti and zucchini Sauté four thinly sliced zucchinis in just a little olive oil in a large pan for ten minutes (or until the pieces are very soft and clear) Meanwhile, prepare the spaghetti according to package instructions When it is ready, take the majority of it out, but leave your baby’s portion for about three minutes longer Take out four or five pieces of zucchini, peal their skin, and cut into small pieces; add some of the super soft spaghetti cut up into tiny pieces For your portion, mix the al dente spaghetti with the rest of the zucchini and add some parmesan cheese 167 Free ebooks ==> www.ebook777.com 3) Tofu with mixed vegetables Thinly slice a package of baby carrots, a zucchini, and some squash Sauté with a little olive oil or butter, while slicing the tofu After about fifteen minutes, throw in the tofu – once it is hot, you are set! Mash your baby’s portion with a fork If the vegetables are well-cooked, the baby can eat small pieces 4) Broiled wild (not farm-raised) boneless salmon with broccoli Broil salmon with a little olive oil for seven minutes on each side Cut some flakes and triplecheck for bones for your baby’s portion Wash broccoli and steam for seven minutes for you; an additional five minutes for the baby Blend your baby’s portion in the blender or use a potatoes masher on the heads 5) Ground turkey balls with potatoes Wash a package of ground meat; sauté an onion; mix along with one raw egg and a few handfuls of oats; add salt and pepper; form meatballs and fry in olive oil Make potatoes any way that you know! A t dusk, when it is very still, I think I am alone until The little child I used to be Comes in to sit and talk with me I see beyond her, through the haze, All my forgotten yesterdays I’m glad we know each other yet, I, and the child we can’t forget Anna Bird Stewart, Envoy 168 www.ebook777.com Free ebooks ==> www.ebook777.com The Final Stages of Weaning T he first part of weaning, which involves simply introducing foods and replacing breast milk, is natural and fun The second part of weaning, cutting out breastfeeding completely, is sometimes more challenging While some babies easily lose interest in breastfeeding, other babies remain staunchly attached, especially to evening and morning feeds For those avid breastfeeders, distraction helps Silly songs, pantomimes, games of catch, car rides, and the outdoors offer diversions from the breast!! A Still Breastfeeding Mother’s Story I stopped pumping when my baby turned one, thinking that my baby would wean shortly after But it so happened that she still held on to morning and evening feeds For the most part, I no longer nursed her during the day, but I relented on an especially hot afternoon in Brighton Beach, while visiting a friend My baby had spent the day playing in the sand, running into the water and back, and riding on a carousel There was too much excitement for a nap Suddenly, she was desperately tired and thirsty I sat down on the nearest bench and tried to cover up with my sun-hat “GOD - Just look at that mother nursing such a BIG girl,” I heard one woman say loudly to another It took me a second to realize that my little baby (at fifteen months) 169 Free ebooks ==> www.ebook777.com appeared like a “big girl” from an objective perspective She was still so tiny and helpless in my eyes Their reaction made me wonder if this breastfeeding business had gone on for too long Maybe it was time for another step – to start a breastfeeding anonymous in order to quit But unlike other vices, breastfeeding seemed a relatively harmless (and even healthy one) to permit There were times when I tried to distract my baby from nursing with games; or by offering her spoons of creamy whole milk; slowing down the nursing sessions; and even holding out chocolate ice-cream She would demand nursing instead but afterwards remember the ice-cream to eat She always won Sometimes, in the middle of nursing, my baby would raise her head, look at me mischievously, and then quickly resume; sometimes she would laugh or sigh with great satisfaction upon finishing; and other times, she would fall asleep in the most dreamy way, with her mouth slightly open and curls around her cheeks Maybe she breastfed at this point more for comfort and habit than for sustenance Maybe she breastfed because she missed me during my long working day, and breastfeeding allowed her to feel closeness again Or maybe she just liked it Why should I take such a simple joy away? I don’t really know how to wean as a winner Surely, that doesn’t mean that I can’t toast to making it through! Breastfeeding is action, a unique marathon with a self-defined course and finish line! 170 www.ebook777.com Free ebooks ==> www.ebook777.com 10 WEANING LIKE A WINNER! PUMPING IT UP; SLEEPING LIKE A BABY; FIGHTING THE “YOTTLE” IN YOUR BABY’S BOTTLE; STRUTTING YOUR STUFF; SHAPING-UP AT BABY BOOT CAMP; REGRESSING TO A PRE-SCHOOL LEVEL; SURVIVING GETTING EATEN UP; BECOMING A LIONESS; CHOOSING NURSING OVER NURSERIES; 171 Free ebooks ==> www.ebook777.com Every step was a victory The secret is that it only looks effortless from the outside It is hardly possible to succeed in breastfeeding without really trying We breastfeeding mothers know the truth: pumps, bottles, engorgement, exhaustion, and sleepless nights The funny part is that we hated it and loved it with intensity and passion It became part of us as women and mothers In a sense, it defined our time with our babies That time was selfless Breastfeeding mothers, we are all winners!!! 172 www.ebook777.com Free ebooks ==> www.ebook777.com W hen the green woods laugh with the voice of joy, And the dimpling stream runs laughing by; When the air does laugh with our merry wit, And the green hill laughs with the noise of it; When the meadows laugh with lively green, And the grasshopper laughs in the merry scene, When Mary and Susan and Emily With their sweet round mouths sing “Ha, ha, he!” When the painted birds laugh in the shade, Where our table with cherries and nuts is spread: Come live, and be merry, and join with me, To sing the sweet chorus of “Ha, ha, he!” William Blake, Laughing Song 173 Free ebooks ==> www.ebook777.com References: http://www.cdc.gov/breastfeeding/data/infant_feeding.htm J A César, C G Victora, F C Barros, I S Santos, J A Flores, Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: nested case-control study, British Medical Journal 318 (7194), 1316-1320 (1999) J L Freudenheim, J R Marshall, S Graham, R Laughlin, J E Vena, E Bandera, P Muti, M Swanson, T Nemoto, Exposure to breastmilk in infancy and the risk of breast cancer, Epidemiology (3), 324-31 (1994) Comment in: Epidemiology (2), 198-200 (1995) Niels H Lauersen, M.D., Ph.D and Eileen Stukane, The Complete Book of Breast Care, pp 13-16, 29-30 (Fawcett Columbine, 1998) R Michael Akers, Lactation and the Mammary Gland, Table – p 78 (Wiley- Blackwell, 2002) N E Wight, Donor human milk for preterm infants, J Perinatol 21 (4), 249- 254 (2001) G C Anderson, E Moore, J Hepworth, N Bergman, Early Skin-To-Skin Contact for Mothers and Their Healthy Newborn Infants, Birth 30 (3), 206-207 (2) (Blackwell Publishing, 2003) J McKenna, T McDade, Why babies should never sleep alone: a review of the co-sleeping controversy in relation to SIDS, bedsharing and breastfeeding, Paediatric Respiratory Reviews (2), 134-152 (2005) E A Mitchell, Co-sleeping and sudden infant death syndrome, Lancet 348 (9040), 1466 (1996) 174 www.ebook777.com Free ebooks ==> www.ebook777.com 10 J F Glasgow, A J Thompson, P J Ingram, Sudden unexpected death in infancy: place and time of death, Ulster Med J 75(1), 65-71 (2006) 11 P Blair, P Sidebotham, P Berry, M Evans, P Fleming, Major epidemiological changes in sudden infant death syndrome: a 20-year-population-based study in the UK, Lancet 367 (9507), 314-319 (2006) 12 Human Milk Storage Information for Home Use for Healthy Full-Term Infants, Academy of Breastfeeding Medicine (Princeton Junction, NJ (2004) Acknowledgement: The authors want to express their deep gratitude for permission to use E V Rieu poem “The Paint Box.” The poem was reprinted “By permission of the Authors Licensing and Collecting Society Ltd on behalf of the estate of the late E V Rieu.” 175 Free ebooks ==> www.ebook777.com Natasha Shur, M.D is a diplomate of the American Board of Pediatrics and a diplomate of the American College of Medical Genetics She received her M.D from Albert Einstein College of Medicine in New York She completed her residency in pediatrics and fellowship in genetics at Montefiore Medical Center in New York She currently works as a clinical geneticist and teaches medical students at an academic hospital Paulina Shur, Theatre and Film Director, received her Ph.D in Theatre and Film Arts from the Institute of Theatre, Music, and Film in St Petersburg, Russia, and an M.F.A in Theatre Directing from the University of Virginia in Charlottesville, Va She was a founder and Artistic Director of the Magic Mirror Theatre in Charlottesville, Virginia, and taught theatre and film classes at Rensselaer Polytechnic Institute in Troy, NY She currently writes, directs, and produces short films Marianna Simina, Graphic Designer and Artist, received her degree in Graphic Design from the University of South Carolina in Columbia, SC She exhibits her works at Columbia Museum of Art, colleges, and state exhibitions She receives awards for her portraits and is commissioned to murals, portraits, paintings, and graphic works Currently she works as a Graphic Designer in Columbia, SC www.ebook777.com Bio.indd 7/11/2008 4:09:18 PM ... PAULINA SHUR, Ph.D NATASHA SHUR, M.D and PAULINA SHUR, Ph.D NATASHA SHUR, M.D and PAULINA SHUR, Ph.D HOW TO SUCCEED IN TO SUCCEED IN HOW BREASTFEEDING TO HOW SUCCEED IN BREASTFEEDING WITHOUT REALLY. .. REALLY TRYING, OR WITHOUT REALLY TENTRYING, OR WITHOUT REALLY TRYING, OR STEPS TEN BREASTFEEDING STEPS TEN YOUR STEPSWAY THROUGH YOUR WAY THROUGH YOUR WAY THROUGH Illustrations by Marianna Simina... Marianna SIMINA Layout by See More Designs LLC HOW TO SUCCEED IN BREASTFEEDING WITHOUT REALLY TRYING or Ten Steps to Laugh Your Way Through Copyright © 2008 by World Scientific Publishing Co Pte